| NPI | 1811298292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 077269) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 23736) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2023-09-20 |